临床思维指导下的癌痛药物治疗  

Drug Therapy for Cancer Pain Guided by Clinical Thinking

作　　者：王喆元[1,2] 杨懿[2,3] 朱斌[1,2] 余波[1,2] 翟青[1,2] 

机构地区：[1]复旦大学附属肿瘤医院药剂科,上海200032 [2]复旦大学上海医学院肿瘤学系,上海200032 [3]复旦大学附属肿瘤医院麻醉科,上海200032

出　　处：《中国药房》2012年第10期943-945,共3页China Pharmacy

摘　　要：目的:探索癌痛用药的规范,以避免镇痛药物的滥用。方法:以药物治疗的临床思维为指导,从疾病(癌痛的病因、评估、分度)、患者(一般情况、疾病史、手术史、用药史)、药物(治疗药物的分类、药效学、药动学、剂型与给药方式、剂量、不良反应、相互作用)3个方面综合分析具体病例的临床资料。结果与结论:在临床思维指导下,可以科学、合理地进行癌痛药物治疗。OBJECTIVE： To study the guideline of drug use for cancer pain as well as to avoid the abuse of analgesics. METHODS： Clinical information of cases was analyzed comprehensively in terms of diseases （reasons, evaluation and scale for cancer pain）, patients （general information, disease history, surgery history and medication history） and drugs （types of drugs, pharmacody- namics, pharmaeokinetics, dosage form, adverse drug reactions, drug interaction） according to clinical thinking principles. RE- SULTS＆CONCLUSIONS ： Guided by clinical thinking, drug therapy for cancer pain can be in a scientific and rational way.

关 键 词：临床思维 药物 癌痛 药物治疗 合理用药 

分 类 号：R971.1[医药卫生—药品] R969.3[医药卫生—药学]